PubMed · 10122498
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C Paton. 1992-08-06. Firm control.. https://pubmed.ncbi.nlm.nih.gov/10122498/
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Taking time to develop key strategies and implement our model enabled team members to deliver excellent patient care through shared governance and team empowerment. The benefits of using this model are medical and nursing staff members working together and having ownership in what they do. A sense of accomplishment will be evident, and team members likely will achieve the team's goals and those of the organization. Nurses frequently practice traditional shared governance. To achieve our goals, however, we must take the opportunity that working with medical team members offers. Ensuring that we remain interested and committed to our team model is the next major challenge the team members face. We must continue to be vibrant and open to change. Educational programs, seminars, journal clubs, social activities, and challenging team members for ideas help maintain interest and focus. As managers, we must allow the team to grow and develop by promoting a climate in which learning and mastery is valued, making it clear that there is no failure, only mistakes that provide feedback. We can facilitate this by trusting, believing in, and supporting team members to provide excellent patient care while achieving their goals and those of the organization.
Forecasting the future of health care is difficult. However, we argue that this future will include the movement of health care through process improvement (enhancement) toward the objective of mass customization. This article discusses how mass customization might apply to specific portions of client-centered health care.
More than a fifth of trusts in England are involved in mergers. The Department of Health has not revealed the rationale for its drive on mergers. Small, potential cost savings are often outweighed by the expense of the merger process and loss of morale and productivity. Many NHS consultants are not involving themselves in redesigning services following mergers because they cannot see a way forward in the face of so many contradictory central demands. Support for this massive change programme is not adequate.